Evidence map›Paper›PMID 25539779›Full record

Trial reportBMJ open2014

Deliberative democracy and cancer screening consent: a randomised control trial of the effect of a community jury on men's knowledge about and intentions to participate in PSA screening.

Rae Thomas, Paul Glasziou, Lucie Rychetnik, Geraldine Mackenzie, Robert Gardiner, Jenny Doust

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.9field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
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  3. Review
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  6. Review
  7. Review
  8. Exploring women's priorities for the potential consequences of a gestational diabetes diagnosis: A pilot community jury.Health expectations : an international journal of public participation in health care and health policy · 2020
    Article
  9. An Australian community jury to consider case-finding for dementia: Differences between informed community preferences and general practice guidelines.Health expectations : an international journal of public participation in health care and health policy · 2019
    Article
  10. Developing and applying a deductive coding framework to assess the goals of Citizen/Community Jury deliberations.Health expectations : an international journal of public participation in health care and health policy · 2019
    Article
  11. Article
  12. Article
  13. Article
  14. CJCheck Stage 1: development and testing of a checklist for reporting community juries - Delphi process and analysis of studies published in 1996-2015.Health expectations : an international journal of public participation in health care and health policy · 2017
    Article
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Rae ThomasFaculty of Health Sciences and Medicine, Centre for Research in Evidence-Based Practice (CREBP), Bond University, Gold Coast, Queensland, Australia.
Paul GlasziouFaculty of Health Sciences and Medicine, Centre for Research in Evidence-Based Practice (CREBP), Bond University, Gold Coast, Queensland, Australia.
Lucie RychetnikSchool of Medicine, University of Notre Dame, Sydney, New South Wales, Australia School of Public Health, University of Sydney, Sydney, New South Wales, Australia.
Geraldine MackenzieFaculty of Law, Bond University, Gold Coast, Queensland, Australia.
Robert GardinerDepartment of Urology, University of Queensland Centre for Clinical Research, Royal Brisbane & Women's Hospital, Gold Coast, Queensland, Australia.
Jenny DoustFaculty of Health Sciences and Medicine, Centre for Research in Evidence-Based Practice (CREBP), Bond University, Gold Coast, Queensland, Australia.
Bond University · AUUniversity of Queensland · AUUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveProstate-specific antigen (PSA) screening is controversial. A community jury allows presentation of complex information and may clarify how participants view screening after being well-informed. We examined whether participating in a community jury had an effect on men's knowledge about and their intention to participate in PSA screening.

designRandom allocation to either a 2-day community jury or a control group, with preassessment, postassessment and 3-month follow-up assessment.

settingParticipants from the Gold Coast (Australia) recruited via radio, newspaper and community meetings.

participantsTwenty-six men aged 50-70 years with no previous diagnosis of prostate cancer.

interventionThe control group (n=14) received factsheets on PSA screening. Community jury participants (n=12) received the same factsheets and further information about screening for prostate cancer. In addition, three experts presented information on PSA screening: a neutral scientific advisor provided background information, one expert emphasised the potential benefits of screening and another expert emphasised the potential harms. Participants discussed information, asked questions to the experts and deliberated on personal and policy decisions. MAIN OUTCOME AND MEASURES: Our primary outcome was change in individual intention to have a PSA screening test. We also assessed knowledge about screening for prostate cancer.

resultsAnalyses were conducted using intention-to-treat. Immediately after the jury, the community jury group had less intention-to-screen for prostate cancer than men in the control group (effect size=-0.6 SD, p=0.05). This was sustained at 3-month follow-up. Community jury men also correctly identified PSA test accuracy and considered themselves more informed (effect size=1.2 SD, p<0.001).

conclusionsEvidence-informed deliberation of the harms and benefits of PSA screening effects men's individual choice to be screened for prostate cancer. Community juries may be a valid method for eliciting target group input to policy decisions. TRIAL REGISTRATION NUMBER: Australian and New Zealand Clinical Trials Registry (ACTRN12612001079831).

Indexed as

IntentionJudicial RolePatient Education as TopicAgedAustraliaCommunity ParticipationDecision MakingEarly Detection of CancerFollow-Up StudiesHumansIncidenceMaleMiddle AgedProstate-Specific AntigenProstatic NeoplasmsThird-Party ConsentProstate-Specific AntigenPRIMARY CAREProstate CancerProstate Specific Antigen testingPUBLIC HEALTH

Identifiers

PMID25539779
PMCPMC4281538
OpenAlexW2104131335

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.